What
PCI is usually performed under image guidance. Drug-coated stents or drug-coated balloons can be selected, depending on the lesion morphology and assessment. A common practice is to insert a catheter into the coronary artery through a percutaneous approach, perform angiography to locate the stenosis, pre-dilate with a balloon, implant a stent or use a drug-coated balloon as needed, and combine with intravascular ultrasound/OCT and functional guidance. Postoperative monitoring includes ECG and hemodynamics, and observation of the puncture site. The goal is to improve blood supply and relieve ischemia. The above is general health information, not medical advice; the specific plan is subject to specialist assessment and hospital protocol.
How
- Perform the operation under image guidance.
- Insert a catheter through a percutaneous approach.
- Locate the stenosis area and pre-dilate.
- Implant a stent or use a balloon as needed.
- Monitor ECG and hemodynamics.
Recovery
In the early postoperative period, monitor ECG, blood pressure, and the puncture site, and gradually get out of bed and resume daily activities as directed by the doctor. Avoid heavy physical activity and local exertion in the short term, and pay attention to wound cleaning and bleeding warnings. Follow up as planned to assess medication and blood lipid and blood pressure control. Air travel and business trips are decided after evaluation by the doctor. Metal stents usually do not affect security checks, and discharge summaries can be carried with you.
- Early monitoring of ECG, blood pressure, and puncture site.
- Avoid heavy physical labor and keep the wound clean.
- Follow up as planned to assess medication and indicators.
FAQ
Will the surgery be very painful?
It is mostly performed under local anesthesia and sedation, and the process is mainly discomfort. There may be soreness or mild pain at the puncture site after the operation, which usually subsides in the short term, depending on individual feelings.
Do I need to bring my own imaging data?
It is recommended to bring the original files of previous ECG, ultrasound, angiography, or CT data for comparison and surgical planning.
Will the stent affect security checks or MRI?
Most modern stents have no significant impact on security checks. MRI compatibility and timing need to be jointly assessed by imaging and cardiology departments, subject to hospital recommendations.
When can I resume exercise and driving/flying?
Usually, recovery is phased, starting with light activities. The time for driving and flying needs to be confirmed by the doctor after a follow-up assessment.
How long does hospitalization and follow-up take?
The duration of hospitalization and follow-up is affected by the condition and recovery, and is mostly in the range of days to weeks; the specific schedule is subject to actual scheduling and follow-up assessment.
Is it necessary to place a stent for all stenoses?
Not necessarily. Whether to place a stent depends on evidence of ischemia, stenosis severity, and anatomical characteristics. The doctor will make a comprehensive assessment and may also refer to FFR/iFR and intravascular imaging.
How long do I need to take antiplatelet drugs after the operation?
It needs to be determined individually, depending on the implanted device, bleeding risk, and complications. The specific course of treatment is determined by the follow-up doctor based on guidelines and assessment.
What is the difference between drug-coated stents and drug-coated balloons?
Both are local drug delivery strategies to reduce restenosis. Stents provide mechanical support; balloons do not leave implants and are suitable for different situations and lesion types.